Select Medical Holdings Cash Flow Quality Index
Select Medical Holdings cash flow quality index. Select Medical Holdings (SEM) has a Cash Flow Quality Index of -0.05x as of March 2026. Operating cash flow of $-3.46 Million is below net income of $74.73 Million, suggesting accrual-heavy earnings not yet converted to cash. Explore SEM debt coverage from operations to assess how comfortably operating cash covers total debt obligations.
Cash Flow Quality Index
Operating Cash Flow
Net Income
Data as of
Cash Flow Quality Index of Select Medical Holdings (2006–2025)
Cash flow quality index of Select Medical Holdings from 2006 to 2025. Historical Cash Flow Quality Index for Select Medical Holdings across 20 annual periods. Values consistently above 1.0x indicate high-quality earnings. See SEM net asset quality index to measure how much of total assets are equity-financed.
Select Medical Holdings Cash Flow Quality Index by Year (2006–2025)
Select Medical Holdings cash flow quality index by year from 2006 to 2025. Year-by-year earnings quality comparison for Select Medical Holdings. For the full cash flow conversion analysis, see Select Medical Holdings cash flow conversion.
| Year | Quality Index | Operating CF (USD) | Net Income | YoY Change |
|---|---|---|---|---|
| 2025 | 2.37x | $346.47 Million | $146.22 Million | ▲ +35.8% |
| 2024 | 1.75x | $517.86 Million | $296.70 Million | ▼ -10.1% |
| 2023 | 1.94x | $582.06 Million | $299.73 Million | ▲ +35.0% |
| 2022 | 1.44x | $284.82 Million | $198.03 Million | ▲ +79.2% |
| 2021 | 0.80x | $401.23 Million | $499.95 Million | ▼ -73.1% |
| 2020 | 2.98x | $1.03 Billion | $344.61 Million | ▲ +34.7% |
| 2019 | 2.21x | $445.18 Million | $201.03 Million | ▼ -20.7% |
| 2018 | 2.79x | $494.19 Million | $176.94 Million | ▲ +158.8% |
| 2017 | 1.08x | $238.13 Million | $220.65 Million | ▼ -61.0% |
| 2016 | 2.77x | $346.60 Million | $125.27 Million | ▲ +80.5% |
| 2015 | 1.53x | $208.41 Million | $136.00 Million | ▲ +15.1% |
| 2014 | 1.33x | $170.64 Million | $128.18 Million | ▼ -14.9% |
| 2013 | 1.57x | $192.52 Million | $123.01 Million | ▼ -19.4% |
| 2012 | 1.94x | $298.68 Million | $153.89 Million | ▲ +0.8% |
| 2011 | 1.93x | $217.13 Million | $112.76 Million | ▲ +9.7% |
| 2010 | 1.75x | $144.54 Million | $82.36 Million | ▼ -16.4% |
| 2009 | 2.10x | $165.64 Million | $78.89 Million | ▼ -49.5% |
| 2008 | 4.16x | $107.44 Million | $25.83 Million | ▲ +71.3% |
| 2007 | 2.43x | $86.01 Million | $35.43 Million | ▲ +1.2% |
| 2006 | 2.40x | $227.65 Million | $94.88 Million | — |